Repairing a perforated eardrum, also known as tympanoplasty, is a surgical procedure done to mend holes or tears in the eardrum. This surgery also reconstructs the tiny bones of the middle ear.
When a hole in the eardrum is caused by recent injury, doctors often initially monitor the situation to see if healing occurs on its own. If the perforation remains after a period of observation, surgical repair may be recommended.
During tympanoplasty, the eardrum is rebuilt using a tissue graft taken either from the patient’s own tissue or using synthetic patching material. The surgery takes 1 to 3 hours to perform under local or general anesthetic. Success rates are typically very high, with around 90% of patients achieving an intact, functional eardrum after the procedure.
Overall, tympanoplasty is a highly effective operation for reconstructing the perforated eardrum and middle ear bones, allowing for improved hearing outcomes. While watching and waiting for spontaneous healing is sometimes appropriate, surgery is frequently necessary to fully mend larger or persistent eardrum perforations.